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Sunday, May 23, 2021

WATCH OUT Mucormycosis IN COVID -19 PATIENT

 HIGH suspecious:

- Diabetic melliyus 

- Treatment for covid -19 with corticosteriods.


Treatment with immuno moddulators(Tocilizumb,itolizumb).


- Treatment with Mechanical ventilation.


- long standing oxygen therapy.


- EARLY SIGN ANS SYMPTOMS:


- facial swelling 

- facial skin discoloration

- ptosis

- proptosis's

- ristricted eye movement 

- palate discoloration

- palatal Necrosis

- Brownish dischrage from nose


- facial pain 

- sinus headache

- stuffy nose

- bloody nasal discharge

- blurring of vision 

- dental pain 

- loosening of teeth



EARLY DETECTION AND EARLY INTERVENTION:

- CBC

- blood sugar

- renal function tests (s,creatnine BUN)

- Deep nasal swab-KOH stai<b></b>ning

- nasal endoscopy biopsy

 - MRI-for extent invoved

- CT scan-PNS To determine extent of involvement



BEST OUTCOME:

REDUCE morbidity and mortality

- medical managment

- strict blood sugar

- antifungals

- amphotericin B1.5mg/kg/dayfor 4-6weeks

- posaconzazole loading dose 300mg BD,300mgOD FOR 4-6 weeks

- Early surgical Debridement


maxillofacial surgeon

ENT Reference

Opthamological reference

Neurological reference.


Sunday, May 16, 2021

Managing covid-19 at home Have been Advice for home quarantine due to mild symptoms.

 


As peradvisery guidance of govt of India ministry of health patients with mild covid infection can be managed at home only. with symptomatic control medication and with proper care we know that covid -19, 70-80% infection would be mild you will get better within few days to few weeks your doctor will give you the best treatment with taking care of symptom and help you get better fast

Here we talking about some aspect which we will enhance speedy recovery:

Take proper rest

To maintain the daily routine

Get up on time, Shower once a day, change your clothes daily and maintain proper hygiene, maintain a level of activity, move above 10-15 minute 2-3 times in your room every day, this will keep you refresh, it will keep the circulation leg your going and prevent the chances of deep vein thrombosis which can happen because of prolonging resting.

Diet should be easy to digest but should have all the required nutrients (cereal, protein, fruits which rich in vitamin c citric fruit and sessional fruit will very help full for your recovery, the importance of liquids and water cannot be over emphasizes have about 3-4 liters of liquid, warm water, tea coffee, milk, etc, also you can have turmeric, honey, ginger,giloy this thing in your diet as a supplement to your nutritional food requirement as well as to boost your immunity. because covid 19  infection you are through main scratchy irritated and sometimes even pain is important to do gargle at least 3 times a day after eating your food to reduce pain, irritation, viral load in throat secretions.

During covid 19 infection the main organ which takes the brants is your lungs to keep your lung in good shape do this thing:


1-do steam at least three times a day.



2-try to lying down on your stomach, pillow placement is very important when you are doing this don’t press your stomach because between the chest and hip bone our diaphragmatic muscle is lying don’t press your stomach diaphragmatic movement is very important. place one pillow beneath the upper chest and another on beneath the hip pone and you can move your hand as comfortable you are. it will improve and open up your lungs and the back of the chest where most of the part of the lung is lying. so it will improve oxygenation so while resting and be careful don’t do it immediately after eating food it is also contraindicated for obese( who have a fatty stomach, it can disturb diaphragm function ), pregnancy, spondylolisthesis, back surgery, thigh bone surgery you should consult with you doctor before doing this.






3.some deep breathing exercise.

That can help with a spirometer or you can take the help of normal birthday balloons, blowing to the balloon for good 3 breaths and holding some time, inhale and take out the breath very gradually, it will keep your lungs in good shape and it will improve the oxygenation. And can also do deep breathing or breath-holding exercise if you are doing the first time you may hold 5 sec and increase your holding 2-3 sec daily with your family member and encourage to each other to increase your breath holding time it will maintain your lung capacity and shape.


4-Mental health is equally important in covid 19infection for speedy recovery purpose don’t panic that is worst you can do stay very positive stay away from negativity don’t watch too much of negative news on television rather invest your time in resting, reading good books, listen to good and piece full music, and if time permits connect with your friends through phone and video chat keep positivity around you don’t panic at all this will help very much in your speedy recovery.

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